| Land Of Enchantment Youth Services | |
|
1424 Deborah Rd Se Ste 205 Rio Rancho NM 87124-6619 | |
| (505) 636-6100 | |
| Not Available |
| Full Name | Land Of Enchantment Youth Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1424 Deborah Rd Se Ste 205, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Margaret Suehr (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5059481811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Land Of Enchantment Youth Services 1424 Deborah Rd Se Ste 205 Rio Rancho NM 87124-6619 Ph: (505) 750-4855 | Land Of Enchantment Youth Services 1424 Deborah Rd Se Ste 205 Rio Rancho NM 87124-6619 Ph: (505) 636-6100 |
| NPI Number | 1386226389 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386226389 | NPI | - | NPPES |
| 513118635 | Other | NM | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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